NPI | 1730493305 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F336430-1) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 497832-1) |
Enumeration Date | 2010-08-05 |
Last Update Date | 2023-06-05 |